More Harm than Good? A Pilot of a Motivational Interviewing Based Intervention for Increasing Readiness to Improve Nutrition in Young People Experiencing a First Episode of Psychosis

Emmie Fulton, Malcolm Peet, Kevin Williamson

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    Abstract

    The relationship between nutrition and mental health, as well as physical health, is well known. Mental Health Services in the UK and worldwide are recognising the need for nutritional care, however eliciting a change in eating habits in patients/service users is a challenge. The effects of a ‘Psych-Nutritional Intervention’ (PNI) using Motivational Interviewing (n = 30) was compared with a ‘Treatment as Usual’ (TAU) involving standard nutritional advice (n = 21) and a control group (no nutritional support) (n = 22). The sample consisted of young people aged 18–35 years old with a diagnosis of psychosis, who were currently
    under the care of a UK specialist National Health Service (NHS) Mental Health team (Early Intervention for Psychosis Team). Nutritional knowledge was assessed at baseline across the groups. Readiness to Change eating habits was measured at baseline and a further two time points post intervention. Although there were no significant between group differences, the PNI group elicited both the most progression in terms of readiness to change eating habits, but also the most regression. The use of MI may be anti-therapeutic for those who are not ready to consider make changes to their eating habits, and this requires further
    investigation. Greater emphasis on the importance of assessing and selecting who is most likely to benefit from interventions is necessary.
    Original languageEnglish
    Pages (from-to)1-9
    Number of pages9
    JournalHealth Psychology Bulletin
    Volume3
    Issue number1
    DOIs
    Publication statusPublished - 2 Jan 2019

    Fingerprint

    Motivational Interviewing
    Feeding Behavior
    Psychotic Disorders
    Mental Health
    Nutritional Support
    National Health Programs
    Mental Health Services
    Control Groups
    Health
    Therapeutics

    Bibliographical note

    Copyright: © 2019 The Author(s). This is an open-access article distributed under the terms of the Creative Commons
    Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium,
    provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/

    Keywords

    • Eating habits
    • Healthy eating
    • Psychosis
    • Mental health
    • Motivational Interviewing

    Cite this

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    title = "More Harm than Good? A Pilot of a Motivational Interviewing Based Intervention for Increasing Readiness to Improve Nutrition in Young People Experiencing a First Episode of Psychosis",
    abstract = "The relationship between nutrition and mental health, as well as physical health, is well known. Mental Health Services in the UK and worldwide are recognising the need for nutritional care, however eliciting a change in eating habits in patients/service users is a challenge. The effects of a ‘Psych-Nutritional Intervention’ (PNI) using Motivational Interviewing (n = 30) was compared with a ‘Treatment as Usual’ (TAU) involving standard nutritional advice (n = 21) and a control group (no nutritional support) (n = 22). The sample consisted of young people aged 18–35 years old with a diagnosis of psychosis, who were currentlyunder the care of a UK specialist National Health Service (NHS) Mental Health team (Early Intervention for Psychosis Team). Nutritional knowledge was assessed at baseline across the groups. Readiness to Change eating habits was measured at baseline and a further two time points post intervention. Although there were no significant between group differences, the PNI group elicited both the most progression in terms of readiness to change eating habits, but also the most regression. The use of MI may be anti-therapeutic for those who are not ready to consider make changes to their eating habits, and this requires furtherinvestigation. Greater emphasis on the importance of assessing and selecting who is most likely to benefit from interventions is necessary.",
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    AU - Williamson, Kevin

    N1 - Copyright: © 2019 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/

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